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“We’ve had just one meeting since the strikes started – most of the time we are forced to speak via email.

“We’ve asked a number of times to meet with the chair of the trust, and we get ignored. This is not the way to solve a delicate dispute.

North West Ambulance Service stock image (Image: North West Ambulance Service)

“After almost 13 years, our members are now saying enough is enough.”

Michael Forrest, deputy chief executive for NWAS, said prior to a previous walk-out: “The trust is extremely disappointed with the actions proposed by GMB and believes it has worked closely with them to try and work through the issues which formed the basis of the ballot. Talks are ongoing and we will be doing all we can to minimise any impact on the public.

“We will continue to make attempts to resolve these issues as quickly as possible and would like to assure the public that their safety is our primary concern.”